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Finance a serious game in healthcare

CbusineZ
CbusineZ

During the Games for health 2012 conference CbusineZ held a presentation on how to finance a serious game. Summarised as: stop creating games, start creating treatments

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How to finance a serious game
                         in health care




woensdag 7 november 12
Index


     -   Healthcare challenges

     -   The healthcare landscape

     -   The ideal ‘financing method’: part of the treatment

     -   Financing the serious game startup




                          2
woensdag 7 november 12
The cost of healthcare have risen                 sharply

              Rise cost of hospitalcare in   Cost increase in AWBZ
                Netherlands last 5 year      (elderly care) in 10 year




                                                                         3

woensdag 7 november 12
The cost of healthcare have risen                 sharply

              Rise cost of hospitalcare in   Cost increase in AWBZ
                Netherlands last 5 year      (elderly care) in 10 year


                          30 %
                         to 20 mrd €




                                                                         3

woensdag 7 november 12
The cost of healthcare have risen                 sharply

              Rise cost of hospitalcare in   Cost increase in AWBZ
                Netherlands last 5 year      (elderly care) in 10 year


                          30 %                       66 %
                         to 20 mrd €               to 21 mrd €




                                                                         3

woensdag 7 november 12
Life expectancy life expectancy will lead to an
       The increase in has risen
       And will increase the coming years
       increase in the number of elderly people


             +3


          Baby in
           2010:                   65+ in 2010:
             In
            83jr                     2,5 mln
           1970:
          72 year




       LINH, RIVM,                                       4

woensdag 7 november 12

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Finance a serious game in healthcare

  • 1. How to finance a serious game in health care woensdag 7 november 12
  • 2. Index - Healthcare challenges - The healthcare landscape - The ideal ‘financing method’: part of the treatment - Financing the serious game startup 2 woensdag 7 november 12
  • 3. The cost of healthcare have risen sharply Rise cost of hospitalcare in Cost increase in AWBZ Netherlands last 5 year (elderly care) in 10 year 3 woensdag 7 november 12
  • 4. The cost of healthcare have risen sharply Rise cost of hospitalcare in Cost increase in AWBZ Netherlands last 5 year (elderly care) in 10 year 30 % to 20 mrd € 3 woensdag 7 november 12
  • 5. The cost of healthcare have risen sharply Rise cost of hospitalcare in Cost increase in AWBZ Netherlands last 5 year (elderly care) in 10 year 30 % 66 % to 20 mrd € to 21 mrd € 3 woensdag 7 november 12
  • 6. Life expectancy life expectancy will lead to an The increase in has risen And will increase the coming years increase in the number of elderly people +3 Baby in 2010: 65+ in 2010: In 83jr 2,5 mln 1970: 72 year LINH, RIVM, 4 woensdag 7 november 12
  • 7. Life expectancy life expectancy will lead to an The increase in has risen And will increase the coming years increase in the number of elderly people In 2020 there are +3 3,3 mln 65+ Baby in 2010: 65+ in 2010: In 83jr 2,5 mln 1970: 72 year LINH, RIVM, 4 woensdag 7 november 12
  • 8. We live longer.... But not always healthy... LINH, RIVM, 5 woensdag 7 november 12
  • 9. We live longer.... But not always healthy... LINH, RIVM, 5 woensdag 7 november 12
  • 10. We live longer.... But not always healthy... 27% smokes LINH, RIVM, 5 woensdag 7 november 12
  • 11. We live longer.... But not always healthy... 40% over weight 27% smokes 15% obesity LINH, RIVM, 5 woensdag 7 november 12
  • 12. We live longer.... But not always healthy... 40% over weight 50% doesn’t exercise 27% smokes 15% obesity enough LINH, RIVM, 5 woensdag 7 november 12
  • 13. Unhealthy lifestyle is not always healthy... We live longer.... But an important reason for chronicle illness 40% over weight 50% doesn’t exercise 27% smokes 15% obesity enough LINH, RIVM, 5 woensdag 7 november 12
  • 14. Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise 6 woensdag 7 november 12
  • 15. Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise Depression COPD Diabetes heartcondition 6 woensdag 7 november 12
  • 16. Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise 463.000 Depression COPD Diabetes heartcondition 6 woensdag 7 november 12
  • 17. Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise 569.000 463.000 Depression COPD Diabetes heartcondition 6 woensdag 7 november 12
  • 18. Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise 1.1 mln 569.000 463.000 Depression COPD Diabetes heartcondition 6 woensdag 7 november 12
  • 19. Because of higher life expectancy & unhealthy lifestyle the number of chronically ill will rise 1.2 mln 1.1 mln 569.000 463.000 Depression COPD Diabetes heartcondition 6 woensdag 7 november 12
  • 20. Because of higher life expectancy & unhealthy Can you imagine what this means for care delivery? lifestyle the number of chronically ill will rise 1.2 mln 1.1 mln 569.000 463.000 Depression COPD Diabetes heartcondition 6 woensdag 7 november 12
  • 21. Patiënt empowerment could be a huge contribution but still faces hurdles in implementation Patiënt empowerment shows valuable contribution Health 2.0 Patiënt empowerment is not part of the regular treatment process Shared Decision Making Serious gaming Our current methods are too Several studies showed: cognitive based - better outcomes - less cost - less professional involvement 7 woensdag 7 november 12
  • 22. Index - Healthcare challenges - The healthcare landscape - The ideal ‘financing method’: part of the treatment and the consequenses for development - Financing the serious game startup 8 woensdag 7 november 12
  • 23. The financing option is determined by the goal of the serious game Cost of organisation by the organisation using it for the Marketing tool enhancement of their proposition Enhancement of Improve treatment to above treatment ‘state of the art levels’ Goal of the serious game Training of professionals Embed in formal training Consumer Customer centric approach “Entertrainment” “app store tactics” 9 woensdag 7 november 12
  • 24. What health insurers are not purchasing seperately 10 woensdag 7 november 12
  • 25. What health insurers are not purchasing seperately Chirurgical scalpel Part of material used in a tariff 10 woensdag 7 november 12
  • 26. What health insurers are not purchasing seperately Chirurgical scalpel MRI Scanner Part of material used in a MRI scanner is tariff purchased by hospital… 10 woensdag 7 november 12
  • 27. What health insurers are not purchasing seperately Chirurgical scalpel MRI Scanner Serious games Part of material used in a MRI scanner is tariff purchased by hospital… 10 woensdag 7 november 12
  • 28. New treatments are purchased when the effects are better then the golden standard effect Golden standard Treatment based (state of the art) on serious gaming In most Western countries medical professionals have the obligation to use the “golden standard” Supplier has the obligation to ‘prove’ that the new treatment has better effects then the current Golden standard 11 woensdag 7 november 12
  • 29. New treatments are purchased when the effects are better then the golden standard effect Golden standard Treatment based (state of the art) on serious gaming In most Western countries medical professionals have the obligation to use the “golden standard” Supplier has the obligation to ‘prove’ that the new treatment has better effects then the current Golden standard 11 woensdag 7 november 12
  • 30. A new diabetes treament would have to prove it has a better effect then the Golden standard Before it would be used and reimbursed… Design Imagine: A new diabetes treatment Laboratory test tot test result conform specification Field test to confirm effectiveness (stage 1) Double blind test to confirm higher effectiveness then Golden standard Marketing to care professionals Arranging reimbursement 12 woensdag 7 november 12
  • 31. A new diabetes treament would have to prove it has a better effect then the Golden standard Before it would be used and reimbursed… Design Imagine: A new diabetes treatment Laboratory test tot test result conform specification Field test to confirm effectiveness (stage 1) Double blind test to confirm higher effectiveness then Golden standard Marketing to care professionals Arranging reimbursement 13 woensdag 7 november 12
  • 32. Serio s game A new diabetesutreament would have to prove it has a better effect then the Golden standard Before it would be used and reimbursed… Design Imagine: A new diabetes treatment Laboratory test tot test result conform specification Field test to confirm effectiveness (stage 1) Double blind test to confirm higher effectiveness then Golden standard Marketing to care professionals Arranging reimbursement 13 woensdag 7 november 12
  • 33. Design and create for effect Develop a treatment! Don’t design a Organisation serious game Mix of developers, medical professionals , process experts and expert on healthcare cost Development process Visualise new game Visualise new treatment process Test payment options Develop game Develop process Develop implementation 14 woensdag 7 november 12
  • 34. In the eHealth market we use JV to create criticall mass on forehand Create a joint venture to assemble critical mass Psy Health direct JV with health insurer and mental health institute for delivering depression and “Joint fear treatment venture” Elab GGZ A club” of mental health institutes together with a eHealth development dev organisation HP HP HP Care2U A combination of GP’s (market), Assemble a group of potential software designers and health insurer clients to co-create, use the (payer) eHealth tool and share benefits Creating critical mass before the start 15 woensdag 7 november 12
  • 35. In progress: set up of a new Venture Fund esspecially for serious gaming Investors Knowlegde & Coaching Und er co Serious gaming nstru c tion Healthcare Venturing 16 woensdag 7 november 12